Clinical Summaries Test Data – Set #5 Office Visit #1 for Johnathan Stone Patient Name Date/Time of Birth Gender Identification Number Identification Number Type Address/Phone Johnathan 11/12/1966 Male 988772587 Medical Record Number 937 Sutter Street, Aurora, Stone 08:18:08 Colorado 80011 303-544-9988 “Source” for all data for this patient: Samuel Johnston, MD Problem List Type ICD-9 Code Patient Problem Status Date Diagnosed Diagnosis 250.02 Diabetes Mellitus, Type 2 Active 07/17/2010 Type SNOMED Code* Patient Problem Status Date Diagnosed Disorder 44054006 Diabetes Mellitus, Type 2 Active 07/17/2010 Medication List RxNorm Product Generic Name Brand Name Strength Dose Route Frequency Date Started Status Code 205875 Medication glyburide Diabeta 2.5 mg 1 Tablet PO Q AM 07/17/2010 Active Medication Allergy List Type SNOMED Code Medication/Agent Reaction Date Recorded Drug Allergy 294506009 Ampicillin Diarrhea, nausea, vomiting 03/25/1997 Drug Allergy 91939003 Sulfonamides Hives, photosensitivity 04/25/1989 Diagnostic Test Results Type LOINC Code Test (Normal Range) Result Date Performed Chemistry 14771-0 LOINC Fasting Blood Glucose (70–100 mg/dl) 120 mg/dl 07/17/2010